What is worse, the Opioid Epidemic or the Stupidity Epidemic? – National Pain Report – June 8, 2017- By Dr. Jay Joshi, CEO/Medical Director – National Pain Centers in Chicago.
I didn’t get far into this article before I began to doubt what the author was saying:.
When other physicians, especially in the university setting, were prescribing “opiates for everyone”, “there are no dose limits”, and “opiates are not addictive as long as you have pain”, I felt compelled to stand up for logic and common sense.
Challenging a valid statement about dose limits is a denial of fact.
From what I’ve read about pain and opioids, there is no valid dosage limit or maximum dosage for opioids as long as enough tolerance has developed over time.
Also, many patients and even some doctors have noticed that people in pain react to opioids differently than those who don’t need them for pain. (See Opioids + Pain != Euphoria)
I commented on sections of that article:
This “Silent Epidemic” of counterfeit and substandard medications is a subject I’m highly interested in, so the lack of specific information is frustrating.
I hope Dr. Joshi (or the editors or anyone else) can show me where I can find more information and hard nubmers about this scourge.
The Stupidity Epidemic has caused more suicides because of inappropriate pain management than prescription opioid deaths, even from illegitimate patients and illegitimate medical care.
This is extremely important data to present as we fight to maintain access to opioids – I really want to blog about and publicize this. Can you give me a link to where you found the numbers?
We are still seeing illegitimate patients who are trying to get high. We are still seeing prescriptions for “illegitimate” pain management molecules that are less safe, dangerous, and very addictive (here’s looking at you oxycodone, alprazolam, carisoprodol, zolpidem, etc)
Could you explain what you mean by “illegitimate” molecules and how they differ from “legitimate” ones, perhaps with some examples?
Prescriptions that are manufactured illegitimately, such as counterfeit and substandard medications, is a major problem.
This is the first time I’ve heard that even prescribed prescriptions from the pharmacy could be counterfeit and substandard – I find it truly terrifying – could you point me to where I can find more information about this?
I have been the national pain management physician leader on both education and solutions to this “Silent Epidemic” of counterfeit and substandard medications.
I’ve long wondered about the month-to-month variability I notice in the daily medications I’ve taken for years, including opioids, and such a “silent epidemic” would explain a lot.
The impact of this would reach far beyond just opioid medications. I really want to learn more about how this is happening and which parts of the supply chain are vulnerable, so could you point me to more information?
When I discussed how properly administered ketamine infusions could reverse central sensitization
This is exciting news! I’ve read that ketamine can lift depression and might be effective for CRPS, but I didn’t know it could reverse central sensitisation. Please let me know where I can find more information about this.
The Stupidity Epidemic has caused the media and the so-called experts to lambaste safer medications all while promoting more dangerous medications.
Which are the safer and more dangerous medications?
The Stupidity Epidemic has caused insurance companies to force physicians to prescribe and pharmacies to dispense dangerous counterfeit, substandard, and generic medicines with variable bioavailability, efficacy, fillers, and pharmacokinetics.
I’m angry that such a terrible scandal hasn’t made it into the mainstream media – or even the medical media I read!
we have to make sure the patient is legitimate through a variety of screening tools. We have developed proprietary technologies that can help us identify illegitimate pain patient trends
This is exactly what they say they’ve been waiting for: accurate, dependable, screening for addiction. Which company has developed these proprietary tools? They must be promoting them online somewhere – can you give me a link?
We will really start curbing the Opioid Epidemic and the Stupidity Epidemic if we start authenticating medications that can be counterfeited and diverted.
It’s awful to think I may have been consuming adulterated medications for all these years. Some sort of authentication stamp on “legitimate” medications would be very reassuring for all patients.
But I don’t understand how authentication of pharmacy-dispensed medications will ease the opioid epidemic.
I posted my comment on the day the article was published, June 8. Though my comment was accepted, I have received no reply to my many questions.
I think that, much like in politics, we in the pain/addiction community are being pushed to one extreme or the other and losing any reasonable middle ground in the process.
When an article so full of provocative and unverified statements without any evidence appears in the “pro-pain-patient” publication, it seems no pain patients will question it for fear of being disloyal to our cause.
Dr. Joshi is an “Interventional Pain Management Specialist” who is in the business of providing epidurals and surgeries to treat pain.
He owns a very successful and thriving business:
National Pain Centers™ (multiple locations)
Leaders in Interventional Spine and Complex Pain Management
“WE ARE IN THE HONESTY BUSINESS”™
Any business that needs to stress its honesty probably struggles with the concept. Even the phrase has been trademarked as though it was something unique. Perhaps it is in this field.
What is the implication? Other interventional physicians are dishonest? Perhaps Dr. Joshi knows how shady these businesses are.
Wellness Center USA, Inc. completed its acquisition of National Pain Centers, Inc. on February 28, 2014.
NPC is now a wholly-owned subsidiary of WCUI and is managed by its founder and CEO Dr. Jay Joshi, MD, DABA, DABAPM, FABAPM.
Since WCUI is a publicly traded company, Dr. Joshi, like any good entrepreneur, will make a lot of money by selling his startup.
Dr. Joshi has also joined WCUI as its Chief Medical Officer (CMO) and a member of its Board of Directors. Dr. Joshi is a nationally recognized double board certified Anesthesiologist and fellowship trained Interventional Spine and Pain Management physician who possesses the rare ability to combine clinical medicine, research, creativity, marketing, inventions, and business development. [and brag about it while making tons of money]
This guy is clearly more concerned about his business empire than helping patients, which he wouldn’t have time for in his busy days finagling profits for himself.
He is definitely NOT advocating for access to opioids, but rather access to “legitimate” molecules (what that means is undefined) and the kind of surgical invasive procedures that provide so little benefit for most patients.
I refuse to be tied into black-or-white advocacy where everyone “on our side” is uncritically assumed to be “right” and “good”.
This is why I am not a member of advocacy organizations. Not everyone on our side is flawless, brilliant, completely honest, or incorruptible – that’s just a matter of statistical probability.
I’m so sick of the propaganda from the other side and so disappointed to see its emerging influence on our side that I feel like giving up my advocacy work.
I have a great doctor and a reliable supply of opioids for my pain, so this battle has not even affected me personally. I’m just furious about the general injustices heaped upon people like me.
If pain patients are going to accept anything that seems to defend them without critical thinking and questioning, then they are not “people l like me” after all.
If Dr. Joshi had at least address my questions, I would feel differently. But it looks like he’s just another shyster.
Let’s not be fooled by sales pitches and propaganda from those seeking to profit from our misery – even if they are on “our side”.