How CDC Guidelines Hurt – Not Help – Pain Patients – by Dez Nelson – The Mighty – Feb 2020
The National Academies released a new consensus report on December 19, 2019, and the Federal Drug Administration (FDA) released an announcement the same day communicating their intention to “develop the evidence” for a new practice guideline for the treatment of acute pain.
This announcement comes on the heels of an ongoing public health disaster that the Centers for Disease Control & Prevention (CDC) caused by implementing recommendations from the National Academy of Medicine and ignoring dissenting specialists in the field, and that the Drug Enforcement Agency (DEA) has perpetuated via SWAT-style raids on doctor’s offices across the country.
This article sums up exactly what I’ve been complaining about. Continue reading
This post contains the critical proof we can use to push back against the anti-opioid policies threatening our lives. It draws on public government data and scientific studies to expose the lies promulgated by anti-opioid activists to blame our prescribed opioids for all overdose deaths.
I believe it’s so significant that I’ve created a separate page for it and I’ll be showing it at the top of this blog for a while:
Misperceptions about the ‘Opioid Epidemic:’ Exploring the Facts – July 2019 – Pain Management Nursing
Thank goodness for nurses! In this lengthy document, they meticulously prove that the ‘Opioid Epidemic’ is a complete fabrication, hyped by anti-opioid activists and spread into our society and even our medical system despite reams of evidence to the contrary from science and government data.
This thoroughly referenced article itemizes and thoroughly debunks the anti-opioid misperceptions (if not outright lies) that have swept through the medical profession and corrupted clear, logical thinking about the rising rate of illicit drug overdoses (not from prescribed opioids).
This is the most sensible document I’ve ever read about the so-called “opioid crisis”. Supported by numerous scientific references, it makes all the arguments we pain patient advocates have been making for years. Continue reading
National Academies outlines new guidelines for opioid prescribing – By Andrew Joseph @DrewQJoseph – Dec 2019
A new report issued Thursday by the National Academies of Sciences, Engineering, and Medicine outlines a framework for prescribers and others to develop their own plans for acute pain, without offering any direct recommendations itself.
Here is finally a sensible “guideline” that essentially says to ignore specific “rules” and work with individual patients to find what works best for them.
But I expect the simplistic anti-opioid rules fabricated by non-medical “experts” will continue to override any thoughtful guidance from respected scientific groups like the National Academies of Sciences, Engineering, and Medicine.
After all, what could scientists possibly know that PROPagandists don’t? Continue reading
Trends in prescription opioid use and dose trajectories before opioid use disorder or overdose in US adults from 2006 to 2016: A cross-sectional study – Nov 2019
I’m not going to pretend to be impartial and scientific anymore – this obscene charade of drug-warriors fighting what they call an “opioid epidemic” has gone to such ridiculous extremes (no opioids after cutting open a woman’s abdomen to pull her baby out) that I can no longer restrain my outrage.
With governments’ increasing efforts to curb opioid prescription use and limit dose below the Centers for Disease Control and Prevention (CDC)-recommended threshold of 90 morphine milligram equivalents per day, little is known about prescription opioid patterns preceding opioid use disorder (OUD) or overdose.
Limiting opioid prescriptions never worked in the past, isn’t working now, and never will work. It cannot work because legitimate opioid prescriptions are not related to opioid overdoses. How long will it take these bureaucrats to figure this out? Continue reading
Opioid Dose Tapering, Opioid Dependence, and Indications for Buprenorphine | Annals of Internal Medicine | American College of Physicians – September 2019
This article is significant only because its authors are all founding members of PROP, the group that initiated, escalated, inflamed, and essentially fabricated the whole issue with prescribed opioid medication:
- Roger Chou, MD;
- Jane Ballantyne, MD;
- Anna Lembke, MD.
I’m delighted to see even a tiny crack in the seemingly invincible force of opioid prohibition.
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Opioid Analgesics – Oct 2019
I’m furious that throughout this detailed 8-page document, the assumption is always that tapers must happen, one way or another. I couldn’t find a single sentence suggesting it may be best to leave patients on some dose of opioids for their pain because, for most of us, opioids are the ONLY effective means of pain control.
More judicious opioid analgesic prescribing can benefit individual patients as well as public health when opioid analgesic use is limited to situations where benefits of opioids are likely to outweigh risks.
Yet they never again mention this case of the benefit being greater than risks, even though that’s the case for so many of us. Continue reading
Health Officials Urge Caution in Reducing Opioids for Pain Patients – The New York Times – By Abby Goodnough – Oct 2019
In a newly published guide, federal health officials say doctors “should never abandon” pain patients and warn of acute withdrawal and other risks.
The Trump administration on Thursday instructed doctors to use more caution when taking chronic pain patients off opioid medications, a response to reports that many have been cutting off prescriptions too quickly, in some cases even dismissing patients from their practice.
Question: Why did we have to wait 3 1/2 years for this?
Answer: because no one wanted to know the results. Continue reading
How Did We Come to Abandon America’s Pain Patients? – Filter Magazine – Alison Knopf – July 2019
Overdoses—not those involving prescription opioids, but of heroin and illicit fentanyl, often combined with benzodiazepines—continue to go up. But
And many physicians, caught in the middle, have stopped prescribing because they don’t want to get in trouble and possibly lose their livelihood. Continue reading
Coincidentally, the month of September is “Pain Awareness Month” and its 2nd week is also “Suicide Prevention Week”. I believe pain awareness *is* suicide prevention, so here is my yearly post about the unintended serendipity of these two awareness campaigns going on at the same time.
By now we have direct evidence that a lack of pain awareness, as demonstrated by all the politicians and healthcare “experts” enshrining the CDC “guideline” prescription opioid restrictions as law, is leading to suicides of patients with uncontrolled pain.
Can the connection become any more obvious? Continue reading