Excellent video with correct information

Video presentation by Stefan Kertesz, MD, at the recent WA Vancouver meeting.

“An opioid frameshift: “What would be good care? Why can’t we make it happen consistently?””

Kertesz focuses on “good care” versus “actual care” for long-term opioid therapy in chronic pain management. He reviews what the CDC guideline really says, and what has actually happened since their introduction in 2016. He mentions the H3P letter and the HRW report in 2018, and the FDA and CDC clarifications in early 2019.

Kertesz talks about CFIR for analyzing opioid policy, and how journalism and state/federal law get involved. And he states that there is no follow-up to see what the effects of policy are, in particular no info on patient outcomes. Kertesz recommends a “patient safety network” to track patient outcomes. 

Kertesz reviews clinical evidence on opioid dose and risk, plus other risk factors. He also talks about his own work in clinic. 

6 thoughts on “Excellent video with correct information

  1. Kathy

    Exactly! I am watching Travis Reider, on Book TV. He has a book out, “In Pain: A Bioethicist’s Struggle With Opiods. He explains the limitations of the current guidelines. He was in a motorcycle accident and required multiple surgeries.

    Liked by 1 person

    1. Zyp Czyk Post author

      I heard about that book, that Mr. Reider found relief without opioids, and that his main problem was horrible withdrawals while he was quitting opioids. I worry that it will be interpreted as support for the theory that opioids don’t work for chronic pain.

      Let me know what you find out as you read it – you can use the “Contact Me” form from the pull-down menu below the “About” category.


    1. Zyp Czyk Post author

      Dr. Kertesz has advocated for us in many forums since this all stated – he’s my hero. He was never afraid to confront the forces that are driving this nonsense and he’s published many academic papers explaining exactly why these restrictions are a terrible idea with terrible consequences.

      If you search for “Kertesz” on my blog, you’ll find dozens of articles he’s written supporting what we’ve been saying all along.

      Liked by 1 person


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