Is the virus spreading through the air?
…could somebody sneeze, cough or simply breathe, and thirty minutes later infect you if you walk through the air they were in?
Staying aloft that long would require that the virus be present in aerosolized particles (as opposed to droplets) smaller than 5 micrometres (.0002 inches) in diameter. These tiny aerosolized particles can be passed simply by talking and breathing.
On March 27th, the World Health Organization stated that “there is not sufficient evidence to suggest that SARS-CoV-2 is airborne.” Continue reading
The 2016 guidelines for the treatment of acute and chronic pain issued by the Centers for Disease Control and Prevention, like Medicare’s CRNA regulation, were always meant to be optional. In fact, in its opening section, the guidelines state:
“Clinical decision making should be based on a relationship between the clinician and patient, and an understanding of the patient’s clinical situation, functioning, and life context.”
This is the part that everyone is ignoring but will come back to haunt us when more and more of medicine is standardized. This COVID crisis is exposing how disorganized and broken (but always profitable!) our healthcare system is. Continue reading
I’m thrilled to see that one of the states that legislated some of the earliest and most extreme anti-opioid rules is now realizing that intractable chronic pain sometimes *does* require opioid medication indefinitely.
Section 1. Minnesota Statutes 2018, section 152.125, is amended to read: 152.125 INTRACTABLE PAIN.
Subdivision 1. Definition.
For purposes of this section, “intractable pain” means a pain state, that includes but is not limited to noncancer pain and rare diseases, in which the cause or causes of the pain cannot be removed or otherwise treated with the consent of the patient and in which, in the generally accepted course of medical practice, no relief or cure of the cause of the pain is possible, or none has been found after reasonable efforts. Continue reading
Ms. Ribeiro has written an excellent two-part article on our plight:
For people managing chronic pain, the push to reduce opioid prescription has left them feeling lost and unsupported.
…and with untreated, extreme, and suicide-inducing pain.
Louisa O’Neil inhales deeply when she is asked about her history of pain. Then, dispassionately, like recalling a string of part-time jobs, she lists the history of surgeries, injuries, accidents and conditions that have rendered her in a near permanent state of pain for the past 16 years. Continue reading
Damaging State Legislation Regarding Opioids: The Need To Scrutinize Sources Of Inaccurate Information Provided To Lawmakers – free full-text /PMC6857667/ – Michael E Schatman and Hannah Shapiro – 2019 Nov
On January 22, 2019, a Massachusetts State Representative introduced House Bill 3656, “An Act requiring practitioners to be held responsible for patient opioid addiction”.
Section 50 of this proposed legislation reads, “A practitioner, who issues a prescription … which contains an opiate, shall be liable to the patient … for the payment of the first 90 days of in-patient hospitalization costs if the patient becomes addicted and is subsequently hospitalized”.
When asked of the source of medical information on which he based his bill, the Representative mentioned the name of a nationally known addiction psychiatrist.
Though unmentioned, this is clearly referring to our nemesis, Mr. Kolodny, who has continued using cherry-picked data from years ago to make his claims that “opioids cause addiction”. Continue reading
Lawmakers are making laws on the basis of inaccurate information provided by persons without expertise in chronic pain management.
The whole country is awash in PROPaganda spread by those who do not understand, much less experience themselves, the extreme physical limitations, subsequent mood disorders, negative social impact, and unnecessary suffering caused by constant unrelieved pain.
On January 22, 2019, a Massachusetts State Representative introduced House Bill 3656, “An Act requiring practitioners to be held responsible for patient opioid addiction”. Continue reading
Opioid Prescribing and Physician Autonomy: A Quality of Care Perspective – free full-text /PMC6384205/ – Feb 2019
As one article published in American Family Physician in 2000 stated: “Despite recent advances in the understanding of pain management, patients continue to suffer needlessly, primarily because of improper management and inadequate pain medication”
This article evaluates the effectiveness of recent legislative mandates and restrictions on opioid prescribing and proposes alternative frameworks for combatting and preventing harms caused by the misuse of prescribed opioids. Continue reading
- This scoping review reveals a growing literature on the effects of certain state opioid misuse prevention policies, but persistent gaps in evidence on other prevalent state policies remain.
- [I had to skip the 2nd “policy point” because it was so absurd, again urging restrictions on prescribed opioids, which are NOT the problem]
- Further research should concentrate on potential unintended consequences of opioid misuse prevention policies, differential policy effects across populations, interventions that have not received sufficient evaluation (eg, Good Samaritan laws, naloxone access laws), and patient-related outcomes.
AMA: Get rid of market barriers to appropriate pain management – by Andis Robeznieks – Senior News Writer – American Medical Association
This article makes a critical point and describes what should be the goal when treating pain: “appropriate analgesic prescribing and pain management.”
Ending the nation’s opioid epidemic requires eliminating obstacles to treatment and appropriate analgesic prescribing and pain management.
New policies adopted at the 2019 AMA Annual Meeting took aim at barriers established by health plans and other players in the medical system. Continue reading
It seems that no amount of data-driven information can get policymakers to reconsider the hysteria-driven pain prescription policies they continue to put in place.
For all human beings, data is far less stimulating than hysteria. That’s why movements, like the anti-opioid zealotry, use scare tactics to motivate and mobilize the populace.
I can understand lay politicians and members of the press misconstruing addiction and dependency, but there is no excuse when doctors make that error.
I used to believe that doctors knew far more about my body and its functions than I did, but what I’ve seen during this “opioid” crisis has disabused me of that quaint notion. Continue reading