Pain Patients and Doctors Have Civil Rights Too — Pain News Network – By Richard Dobson, MD – November 2018
Dr. Dobson makes the point that pain patients’ civil rights about being violated because we and our doctors are being criminally punished for crimes committed by others.
In a recent column, I described the diversion of blame for the opioid crisis as an example of “Factitious Disorder Imposed on Another,” [See previous post Diversion of Blame and the Opioid Crisis] a psychiatric condition in which a person imposes an illness on someone who is not really sick.
Recently, the U.S. Department of Justice announced a plea deal in which a former police chief in Florida pleaded guilty to violating the civil rights of innocent people by making false arrests “under color of law.” I think there are some striking parallels between the way these innocent victims were treated and the way that chronic pain patients and their doctors are treated today. Continue reading
Opioid Policies Based On Morphine Milligram Equivalents Are Automatically Flawed – By Josh Bloom — October 23, 2018
- Calhoun, who died in 1989 at age 55, was 6’4″ and weighed 601 pounds.
- Dinklage, who is 4’5″ tall, weighs 110 pounds.
Now imagine that both Dinklage and Calhoun have headaches and need aspirin. The recommended adult dose for Bayer Aspirin is two 325 mg tablets every four hours.
Will this dose be suitable for both men? Continue reading
The Unintended Consequences of the CDC Opioid Guideline According to Pain Management Specialists – by Cindy Lampner – October 30, 2018
The guideline formulated by the Centers for Disease Control and Prevention (CDC) in an effort to curb opioid overdose-related deaths included a recommendation for steep reductions in opioid doses for patients taking high doses of the drug for chronic pain — including individuals with no evidence of drug addiction or misuse.
This guideline has had dire consequences for patients and the physicians who treat them, according to critics.
And the critics are pain management specialists who were specifically excluded from the guideline writing process, which was spearheaded and pushed through by the anti-opioid extremist group PROP. Continue reading
When Did Guidelines Become Holy Writ? – Med Page Today – by Milton Packer MD – October 17, 2018
During a recent conference, I listened to the speaker opine on a controversial topic. His talk started and ended with slides that copied the text of guidelines issued by several national organizations and societies. When the guideline slides appeared, he dutifully read out their recommendations with reverence.
When the conference ended, I asked the speaker why he had placed so much emphasis on the guidelines. (Below is a paraphrase of our discussion.)
Him: Well, they’re the guidelines! They represent the right and wrong way to do things.
Congress Needs an Opioid Intervention – Reason.com – J. Rich – November 2018
In an effort to “combat the opioid crisis” in America, Congress is calling for a slate of governmental interventions that have been tried, tested, and shown to cause more harm.
Too much of the new legislation is grounded in the “overprescription” hypothesis, which blames the current unprecedented rates of overdose on an expansion in the number of opioid prescriptions that began in the 1990s. Continue reading
Professional Societies Should Abstain From Authorship of Guidelines and Disease Definition Statements – John P.A. Ioannidis – Oct 2018
Guidelines and other statements from professional societies have become increasingly influential. These documents shape how disease should be prevented and treated and what should come within the remit of medical care.
Changes in definition of illness can easily increase overnight by millions the number of people who deserve specialist care. This has been seen repeatedly in conditions as diverse as hypertension, diabetes mellitus, composite cardiovascular risk, depression, rheumatoid arthritis, or gastroesophageal reflux.
Similarly, changes in prevention or treatment options may escalate overnight the required cost of care by billions of dollars.
For example, if we accept PROP’s argument that we’re all addicted to our “heroin pills”, we’d all suddenly need “addiction-recovery programs/clinics/residential treatment centers/resorts” for our “substance abuse” instead of “chronic pain”. Continue reading
The CDC Is Publishing Unreliable Data On Gun Injuries. People Are Using It Anyway. | FiveThirtyEight – Oct. 4, 2018 – By Sean Campbell, Daniel Nass and Mai Nguyen
For journalists, researchers and the general public, the Centers for Disease Control and Prevention serves as an authoritative source of information about Americans’ health, including estimates of how many people are killed or injured by guns.
This shows the CDC is using corrupted numbers to serve its own purposes and pushing a desired agenda, whether it be for gun control, flu shots, or opoids. See my previous post, The CDC’s Math Doesn’t Add Up: Exaggerating Death Toll, for how the flu numbers were exaggerated.
I have now found two instances where the CDC has been caught inflating numbers to promote its desired conclusions (we must all get flu shots, we must have stricter gun control). So I believe we can assume the prescription opioid death numbers have been equally corrupted to promote the agenda that we must restrict prescription opioids because they are supposedly feeding the “opioid crisis”. Continue reading
The Tyranny of Pain Management Contracts (repost from 7/17/16 related to a Opioid contracts harm the doctor-patient relationship)
– To receive opioids from a pain management clinic, you are required to sign away your personal rights and privacy in extremely restrictive and coerced contracts.
How would you feel if you entered a doctor’s office with distressing pain, only to be treated like a lying drug addict, presented with a completely one-sided legal contract, and be expected to sign away important personal rights just to get a medication you need?
Perhaps you just can’t understand just what it feels like to read such a contract when you are a person 100% dependent on opioids to live somewhat decently. It is demeaning, infuriating, and even scary to be treated like an addict without any provocation. Continue reading
Pain doctors, advocates urge curbs on “forced opioid tapering” – Opioid Watch – Nonprofit News from The Opioid Research Institute – Oct 2018
Last week more than 100 healthcare professionals and pain care advocates signed a letter urging the Department of Health and Human Services to “prohibit or minimize rapid, forced opioid tapering in outpatients.”
Other pain doctors declined to sign, however, arguing that the letter’s language was alarmist, and that involuntary taper is sometimes required.
The letter (here or here) was drafted by Beth Darnall, PhD, a pain psychologist at Stanford Medical School.
Beth Darnall is the cheerleader for the theory that much pain is caused/maintained by “catastrophizing”, but now she seems distressed that her theory is being used to deny opioids to millions who need them. Continue reading
A Contrarian’s View: Opioids ‘are not evil,’ are critical in easing pain – By Steven Goldfine on Sep 18, 2018
There is a contrary side to the story. There is the vast majority of patients, probably more than 80 percent, who have taken opioids properly, as responsibly prescribed by their physicians, and who have found that the pharmaceuticals rescued them from excruciating, often-morbid pain.
I, for one, am exceptionally beholden to the manufacturers of opioids. For nearly 20 years, I considered myself the luckiest man on earth for marrying Ilene. I can state unequivocally that without these much-maligned drugs, Ilene’s life would have been cut short by more than a decade. Continue reading