Opioids and the war on pain management

anatta

100% recycled karma
caution is called for here.

How this message is going to be received is this way: Pain doctors, trained in determining which medication works best for their individual patients’ needs — trained in monitoring their patients for adverse effects, as well as for abusive use — will think twice about prescribing opioids. Hospital staff — squeamish nurses, doctors with specialities other than managing pain, administrators and staffers worried about lawsuits and government backlash, will do similarly. And that means patients with true pains, the type of which only opioids ease, will likely suffer.

They’ll be subjected to more questioning, more suspicions, more hurdles to jump to receive their pain pills. Let’s be real here: True pain sufferers don’t really want to take pain pills — they’re not looking for a high. They just want to be able to function, to go to work, to play with their kids, to have a night’s rest.

But government crackdowns on opioids will impact these patients first and hardest. Their prescription amounts will be cut, and they’ll have to jump through additional hoops to obtain enough pills to get them through the month. Their pharmacies will suddenly refuse to fill their prescriptions for codeine. Their pain specialists won’t be covered by their insurance plans any longer.

But the abusers and illegal users?

They’ll find something else to fill the void. They’ll get their highs some other way.


It’s not that the opioid deaths of recent times should be taken lightly, or even ignored. It’s just that opioids were created for specific pain purposes, and those who meet that criteria should not find themselves in the frightening and pitiful position of having to practically beg for their pain meds.

That’s not the White House’s intent. And it’s not the medical community’s intent, either.

But government crackdowns on health matters that best belong between the patient and doctor are never advantageous to the patient. In this case, in this opioid national emergency case, caution is warranted. Leaving true pain sufferers out in the cold would be an unintended consequence that would nevertheless leave those already distressed, already besieged by sad circumstances, in dire, inconsolable straits — and redundancies and all, that’s not overstating.
http://www.washingtontimes.com/news/2017/aug/11/opioids-defense-pain-pills/
 
^ this is already happening BEFORE this latest war on pain pills. Patients are not getting enough, or they have to go for basic refills back to docs, and worst of all the concept of pain management by opioids is being falsely discredited
 
Heroin is cheap.
Part of the reason is the nationwide crackdown on prescription pill abuse, which has made those drugs harder and more expensive to obtain.
In the first two weeks of 2014, police in Delray Beach, Florida, say, they seized more heroin than they did in the past 10 years combined.
"People were getting pills for $10 around here, and now it's much more expensive," said Delray Beach Police Sgt. Nicole Guerriero. "People are now turning to heroin to get their high."
And how cheap is heroin?
"We've heard for as low as $6 a capsule," she said.
http://www.cnn.com/2014/02/02/us/heroin-use-rising/index.html
 
I am curious to know why you've started a new thread on opoids?
because pain management gets lost in the frenzy of the war on opioids..

Most of you here will never be addicted -but almost all of you will be in severe pain at one time or the other.
You (collective you) need to understand the method of pain reliefs are becoming more difficult to find
and not always what you and your doctor agree on
 
tPROPaganda … [PROP = “Physicians for Responsible Opioid Prescription”, a professional group deeply hated by large numbers of pain patients]… has confused and conflated two different medical issues, chronic pain and drug addiction, as well as padding the numbers by equating prescription medication with illicit heroin and fentanyl… To top it off, they deliberately throw together addiction, dependence, and tolerance as if [they’re] all the same. It's bad enough [that] this ignorance is force fed to the average citizen, but the medical community blithely goes along with this charade and abandons and destroys patients who are in desperate need of care.

“How about some of you actually use [your] brains and education? There is no such thing as “hyperalgesia.” Instead of taking the word of rehab industry stooges, you might want to check with, oh let's see... how about pain management doctors and nurses? Millions of patients have been on stable regimens for years. How did that happen when "we all know" that's impossible, what with all of us needing increasing doses to oblivion and back due to tolerance?

I've been on opioids for12 years, still not an addict, still passing urine analyses, pill counts, compliant and cooperative. But I'm the one who isn't allowed HIPAA privacy and must sign away my rights… [I’m] not allowed to participate in treatment decisions, just do as I'm told; not given any trust or respect, and … treated like a criminal.

“Instead, I [am forced] to do a trial of off-label drugs -- who cares if I'm injured. Lyrica gave me permanent high blood pressure and edema. I must now take lisinopril hydrochlorathiazide every day. Thanks Jane Ballantyne! You ass. I was also "addicted" to Cymbalta… I had severe withdrawals when my doctor weaned me off when it didn't work. Oh wait, that's “dependence” -- you know, like how many chronic pain patients are dependent on their opioids BUT NOT ADDICTED? PROP conflates the two, [to] fill those rehab beds! Thanks Andrew Kolodny! You ass.

“NSAIDS kill 16,000 a year due to gastrointestinal events. No one is apparently concerned with that epidemic. And we aren't even counting the deaths due to cardiac or renal events. No need for panic and hysteria because at least no junkies died. But PROPsters think I ought to be happy with their advice to take NSAIDS regularly and think happy thoughts -- while billing me $200 per office visit for a chance at unremitting pain while vomiting blood due to ulcers.

“…Now they're talking free Naloxone. But where are free Epipens to kids who may die from a peanut allergy? Why must we coddle drug addicts who are [assigned] zero responsibility for their own situation, who refuse treatment until they are arrested and then go to a place like PROP's Phoenix House for a chance at a 5% cure rate? These folks will be shooting up again… as soon as they are off the premises. [But there is] lots of money to be made in their revolving door industry….

“Many online and mainstream media don’t want to look at these clowns’ biases. I'd love to see a news item about the dismal success rates [in addiction treatment]. They're clueless about addicts, whom they supposedly treat -- but now they are experts on chronic pain that most of them have never treated? But the media just repeat [whatever] PROP says -- "anyone who prescribes opioids must be biased by Big Pharma!" No way there could be actual medical professionals and patients who know what works for their patients or themselves.

“What is wrong with this picture? The CDC's advisers on Chronic Pain were greedy rehab industry insiders, [who] don't even know what to do with their own addict clients. But they sure are looking forward to that rehab gravy train coming from Congress. Anyone who had expertise or an informed opinion about chronic pain was shut out [of the CDC Guidelines process]. Is the CDC next going to convene a panel of Podiatrists to inform them about fetal development? Maybe some Dermatologists to advise on pulmonary embolisms?

“There are two sides to the [chronic pain] story. The most biased, ignorant, useless side is getting all the ink and attention. Pain management professionals who successfully treat their patients just [aren’t] sexy enough for the news industry, nor their fellow medical professionals, apparently. “


Donna J is obviously bitter. She is also factually correct. This edited extract is used with her permission.

The evidence is conclusive. CDC guidelines for prescription of opioids to adults with chronic pain were written by a group of consultants who were unduly influenced by anti-opioid advocates, addiction treatment professionals and PROP. The writers cherry-picked study data to intentionally exclude anything positive concerning success rates or low risks attending the management of chronic pain with prescription opioids. The resulting guidelines are being incorporated into highly restrictive State laws that utterly mischaracterize the causes of the so-called “epidemic” of opioid overdose deaths. As a result, physicians are leaving pain management practice in droves, deserting their patients and driving some of them into the streets for illicit drugs. Others have committed suicide, overwhelmed by agony.

How long will it take our government to wake up and smell the coffee? It is time to withdraw and rewrite the CDC opioid guidelines in a group led by pain management specialists and patients themselves. It is time to stop the war against chronic pain patients!
http://www.acsh.org/news/2017/01/24/doctors-and-legislators -listen-patients-not-cdc-10758
 
99% of these statist fucktards on here and out there don't give a damn about people in real pain. their position is that those in real pain can just find other methods to relieve pain or receive psycho help because it must all be in their heads. the real issue, to them, is stopping drug abuse, so if millions have to suffer to make them feel better, so be it.
 
99% of these statist fucktards on here and out there don't give a damn about people in real pain. their position is that those in real pain can just find other methods to relieve pain or receive psycho help because it must all be in their heads. the real issue, to them, is stopping drug abuse, so if millions have to suffer to make them feel better, so be it.
absolutely.
It's the same way the DEA looks at pain management - too bad- go suffer.

The CDC are the real bastards,all this crap happened under Obama and Trump is following suit.
Now they are getting between you and your doctor..they are a bunch of statist bastards
 
The War On Doctors: How The DEA is Scaring Doctors from Prescribing Pain Medications
Way back at the dawn of time, or at least the end of the greatest decade ever, the 80s, doctors began to really change the practice of pain medicine. Much before then it was considered "good" for a person to have pain. It was considered a part of the healing process. This change towards a more compassionate view coincided with the large drug manufacturers bringing out new medications to control pain. In 1995, Purdue Pharma brought out a fantastic new drug called OxyContin. It was a time-released version of the opioid drug Oxycodone. In the first year on the market it made up only 1.3 percent of Purdue Pharma's gross sales. Within 2 years OxyContin sales had jumped and now made up half the revenue of the company. By 2003 it had skyrocketed to 1.6 Billion dollars and accounted for 94% percent of the company's revenue. Sales have remained strong since then.
Doctors were prescribing pain medications in record numbers. It wasn't just OxyContin prescriptions that accounted for this. During 2001, pain medication prescriptions jumped 150 percent from the previous year. Between 1997 and 2005, prescriptions for Oxycodone, the active ingredient in Oxycontin and many other pain killers under other brand names, jumped up by 600 percent.

With this easy access to pain killers, they began to be abused. That's where the DEA comes in. Our War on Drugs began back in the 60s but the term itself didn't really become popular until after a press conference given by President Nixon on June 18th, 1971, during which he declared drug abuse to be "Public Enemy #1".
He also created the DEA in 1973, which has become the lead agency for the enforcement of the Controlled Substances Act. We are all pretty familiar with the agency and its running battles with drug lords and gangs, both in the US and across the world. The big problem is that it can never win the War on Drugs. There is no one single enemy and there is no single leader with which to do battle. Take out one drug lord and there is always someone waiting in the wings to step into their shoes. Heck, there are times when it is two or even three somebodies waiting. The lure of easy money to be made by selling illegal drugs is huge. The large amounts of cash generated mean the drug dealers can arm themselves with machine guns and automatic weapons. It is a dangerous job trying to stop the flow of drugs across our borders and within our cities.

Just reading the above you would get the feeling I support the DEA. I do to a point, but I hate how much of it is waged. Sure, they do get some dealers and even the occasional drug lord, but mostly they take down users. That is bad. The way we treat users is horrible. We incarcerate them instead of treating them. With the advent of mandatory sentencing regulations, many users who did nothing more than smoke some dope or get high from an illegal substance have been sentenced to extremely harsh sentences in prison. The War on Drugs is failing and, in an effort to justify its continued existence, the DEA changed course in the early days of the new century. It started to focus more on prescription drugs and their abuse. Coke and heroin are still problems on our streets, but instead they have chosen to go after people who don't shoot back: people who are in the business of treating those of us who live with chronic pain.

The government has lots of statistics to justify the turn to illegal prescription drugs. There was a growing market on the street for these drugs. But one major statistic they don't trumpet is this: 95% of all illegal prescription drugs sold on the streets come from thefts from pharmacies, warehouses and trucks. So only 5% comes from illegally diverted prescriptions. With those figures, you would think the DEA would target the thieves, but nope. They don't bring in cash and lots of it. They go after doctors. Now before you start the PR campaign, I know there are some doctors who ran and do run pill mills. These doctors are very few and far between, though. Take a look at any city and I bet you can not find even one. (Okay I know some cities have more than a few.) So who could the DEA turn on since there were so few actual pill mills? How about legitimate doctors who practice what is called pain management? These doctors write a ton of prescriptions for all those wonderful opioid pain medications that sell so well on the street. When I say a lot, I mean A LOT: Take a look at it this way. I take 4 pills a day for my chronic pain. Now let's see, that comes to 4 x 30 = 120 pills a month. Now for 1 year that would be 120 x 12 = 1440 pills per year. Now let's multiply that by 100 patients. That is now 144,000 pills a year. That is a huge number and I can bet that most pain management doctors see well over 100 patients a year. Sure, some will not be taking 4 pills a day, they may only take 2 or 3, but they could also be on 6 or 8 a day. So I used 4 as an average.

Now think about all the headlines you have seen about so called pill mill doctors. They say that they provided 5 million pills over 4 years or 10 million pills over 7 years or whatever. Guess what? That is the normal doctors' practice in pain management in 1 year. It sure sounds great, doesn't it? Makes for these huge headlines and makes it look like the DEA is looking out for us poor schmoes who happen to live in whatever city they pull their raid in. But here are the true facts. Those figures can fit just about every single pain management doctor in the US. Yep! Every single one of them is writing these same type of scripts for this so called "HUGE" amount of pain killers. Here is an even bigger secret. Want to know who writes more scripts than a pain medication doctor? Go take a look at a Urologist. I did, at a website that lets you see how much pain medication your doctor is writing scripts for. My Urologist is tops in the state. Them kidney stones are painful! I know because I have passed well over 200 of the little buggers. I can't find that link but you can check to see who is prescribing what in your area with this little gem: top prescribers search

No one in government is talking about this switch in prosecutions against doctors. In fact, the DEA denies it is waging a war against doctors. Yet when you look into the facts, they sure state otherwise. Both investigations and prosecutions are way up. Just investigating some doctors is enough to put them out of business even without any prosecution. The taint of the investigation kills a doctor's practice, or they yank the doctor's prescription ability while they "Investigate". And even when they file no charges, the doctor is stuck because they can't write scripts while waiting for the investigation to finish. Up at the start of this paragraph I asked why they switched to doctors. In my own view it is because it is much safer to investigate doctors than real drug dealers. Heck, doctors don't shoot back. Plus, they push stats like the one in the picture to the left. Just looking at it is kind of scary. I mean heck, 15,500 deaths is a lot. While any death is not a good thing, let's look at that figure for a moment. There are about 100 MILLION people who suffer from chronic pain.

There is also the supposed addictive aspect of these opioid drugs. We have all heard about it in the news, from friends or relatives or even from our doctor. Just about anyone will tell you that if you start taking these medications, you will be hooked, addicted, your life screwed up. Well it actually turns out everyone is wrong. Yes addiction can occur but it is not as much of a chance as everyone makes it out to be. Just because you have to take them does not mean you will be addicted to them. There is a certain segment of the population that has a genetic makeup that predisposes them towards addiction of just about anything: gambling, alcohol, drugs or anything else like sex even. That group makes up just under 10% of the population. The truth is that, with proper monitoring, about 90% of the country can take these medications with little to no risk of addiction, while they will become physically dependent upon the drug; it is not the same as addiction.
https://www.dailykos.com/stories/20...ing-Doctors-from-Prescribing-Pain-Medications
 
We have seen many reasons for the DEA targeting pain management doctors. None really show what benefit they have reaped from the investigations. What we can clearly see is that doctors in all fields are becoming more and more scared to prescribe these medications. That is leading to untreated and under treated pain patients. That is not good. Leaving anyone in pain is not good for the body. There are many physical effects that can damage key organs such as the heart and kidneys. It can also lead to suicide as pain patients reach the end of their rope and decide it is not worth going on with all of the pain. There are no stats showing how many pain patients have decided to kill themselves because of being under treated. The stats are masked under the ones for overdoses and accidents. This needs to change and change now. We can't allow the DEA to continue to practice medicine without a license.
 
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