Response to Oregon’s Tapering Guidance and Tools – by Stephen E. Nadeau, MD – Posted by Jeffrey Fudin – Jan 2019
Dr. Nadeau agreed to share his response to The Oregon Pain Guidance Clinical Advisory Group, Tapering Workgroup*
*The Workgroup and contributors include Jane Ballantyne, Roger Chou, Paul Coelho, Ruben Halperin, Andrew Kolodny, Anna Lembke, Jim Shames, Mark Stephens, and David Tauben.
This reads like a list of the most extreme anti-opioid zealots who have been unconcerned about sentencing pain patients to misery and suicide, just to save addicted people from themselves.
Ballantyne and colleagues, in their recent article, “Tapering – Guidance and Tools” (https://www.oregonpainguidance.org/guideline/tapering/), make the implicit assumption that tapering of opioid regimens in patients with chronic nonmalignant pain is a desirable thing.
This assumption/misunderstanding/ignorance might be the main problem with all these restrictive “opioid policies”. While it’s true for people addicted, it’s clearly a disaster for pain patients (but that is usually ignored). Continue reading
Fox Part 3 | Health experts offer solutions for unintended consequences of opioid crackdown – By Elizabeth Llorente | Fox News – December 12
Treating America’s Pain: Unintended Victims of the Opioid Crackdown, Part 3 – The Solutions
Solutions are obvious (rewrite CDC Opioid Guideline), but there’s just no political will to reverse course.
It looks like this Titanic will have to sink before anyone dares make corrections. Pain patients (like passengers on the Titanic) will just be sacrificed before we eventually see progress. Continue reading
The civil war over prescription opioids – by Lynn Webster, MD – Dec 2018
The war is between science and fact versus PROPaganda and media hype.
Over the past 10 to 15 years, attitudes towards opioid use for pain have shifted dramatically. In the 1990s and early 2000s, pain relief was front and center on the newsstands and in medical literature.
During that time, compassion for people in pain increased and permeated our culture and opioids became standard therapy for chronic pain, because few affordable and effective treatment alternatives existed. Continue reading
Draft Report on Pain Management Best Practices | HHS.gov – Dec 2018
This document is so long and so detailed that I spent hours working it over to add my own voluminous commentary.
I posted the second, most significant part yesterday, HHS Report on Pain Mgmt Best Practices – part 2, and the first part the day before: HHS Report on Pain Mgmt Best Practices – part 1.
This is the third and final part of my series, and covers the middle of the document, starting where I left off in the second part detailing interventional procedures. Continue reading
Draft Report on Pain Management Best Practices | HHS.gov – Dec 2018
This document is so long and so detailed that I spent hours working it over to add my own voluminous commentary. I posted the first part yesterday: HHS Report on Pain Mgmt Best Practices – part 1.
Below is the second part, covering more about opioid medication with all its “risk” and then the final, most significant section, covering the problems and errors of the CDC Opioid Prescribing Guidelines:
This seems like the first good news in a while: a government agency admitting that most opioid overdoses are from illicit fentanyl. The report also documents the downsides of non-opioid medications and highlights the predicament of pain patients.
Draft Report on Pain Management Best Practices | HHS.gov
This document is so long and detailed that I spent hours picking it over to find the critical pieces and add my own commentary. It’s far from perfect, but still a welcome change from the usual PROPaganda – and I choose to celebrate.
Here’s the first part: Continue reading
Pain Experts Speak Out Against Forced Opioid Tapering – Pain Medicine News – Dec 2018
The tone of this article is very pain-patient-centric and finally shows sympathy for our plight.
Appearing in a mainstream medical newsletter will give our cause far more visibility than what we publish on sites devoted to our cause, so I feel this is a positive sign that the media narrative is starting to shift.
I believe we’ll be seeing less of the outdated and outright wrong “innocent people getting hooked on prescription opioids” stories to more stories about Rx opioids denied to pain patients while others overdose on injected illicit opioids freely available on the black market. Continue reading
Pain management, prescription opioid mortality, and the CDC: is the devil in the data? by Michael E Schatman & Stephen J Ziegler – Journal of Pain Research – Oct 2017
Though a year old, this article explains the flaws in the CDC opioid prescribing guideline.
Transparency, freedom from bias, and accountability are, in principle, hallmarks of taxpayer-funded institutions. Unfortunately, it seems that at least one institution, the Centers for Disease Control and Prevention (CDC), continues to struggle with all three.
What began with a prescribing guideline created in secrecy has now evolved to the use of statistical data and public statements that fail to capture not only the complexity of the problem but also the distinction between licit and illicit opioids and their relationship to the alarming increase in unintentional overdose. Continue reading
How the CDC’s opioid prescribing guideline is harming pain patients – STAT – By Kate M. Nicholson, Diane E. Hoffman, and Chad D. Kollas – December 6, 2018
During the recent Interim Meeting of the American Medical Association, the organization’s president, Dr. Barbara McAneny, told the story of a patient of hers whose pharmacist refused to fill his prescription for an opioid medication.
She had prescribed the medication to ease her patient’s severe pain from prostate cancer, which had spread to his bones. Feeling ashamed after the pharmacist called him a “drug seeker,” he went home, hoping to endure his pain.
Three days later, he tried to kill himself. Continue reading
Rising Overdoses Show CDC Guideline Not Working — Pain News Network – November 29, 2018 – By Pat Anson, PNN Editor
This article explains how the CDC has been counting the *number of drugs* in people who overdosed, NOT the *number of people* that overdosed, leading to wildly inflated numbers.
Rising suicides and drug overdose deaths led to another decline in U.S. left expectancy last year, according to two sobering reports released by the Centers for Disease Control and Prevention.
So far, the CDC’s strategies, including its controversial 2016 opioid prescribing guideline, are not working. As PNN has reported, the guideline may even be contributing to the rising number of suicides and overdoses. Continue reading