Does Your Doctor Trust You? – Sept 2018 – Source Newsroom: California State University (CSU)
Building a good relationship with your doctor—especially if you suffer from a painful chronic condition—is critical for getting the best treatment possible.
At the same time, clear, open communication with your medical team about how you’re feeling is essential, too.
This is all well and good, but absolutely impossible in the short visits dictated by the profit incentive of medical care these days. Continue reading
Time for Pain Practitioners to Take Back Pain Prescribing – By Jodi Godfrey, MS, RD – at PAINWeek, Sept 2017
Presentations by Stephen J. Ziegler, PhD, JD, Kevin L. Zacharoff, MD, and Michael Schatman, PhD
“with what may be viewed as opioid McCarthyism—our fears are being exploited in the media and by the government with some individuals being blacklisted, just as occurred 70 years ago.
“We have government investigations of prescribers and a marginalization of pain,” Dr. Ziegler said, “to the point that the trend toward undertreating post-surgical pain is now manifesting as chronic pain.”
Pain practitioners are essentially operating under a fear of sanction. Continue reading
Place opioid blame where it belongs – Aug 2018 – by Marcelo Hochman, M.D. and William Simpson, M.D.
Here are two more doctors speaking out about the opioid witch hunt:
Contrary to the narrative that the current death-by-overdose crisis is the result of doctors overprescribing opioids to our patients in pain are the facts.
There is no correlation between the number of prescriptions written and a state’s death rate by opioid overdose.
This is abundantly clear using the CDC’s own data, as demonstrated by Red Lawhern last month. His findings back up exactly what these doctors are saying. (Some Inconvenient Truths About Opioid-War) Continue reading
The difference between care and service is significant
the current state of medicine, where it feels like doctors spend
- 75 percent of their time battling with the electronic medical record,
- 15 percent of their time battling with insurance companies for authorizations,
- 10 percent of their time apologizing to patients for running late,
- 10 percent documenting patient-care hours and
- another 10 percent of their time actually providing the kind of care they went to medical school to provide.
(Wait, does that add up to more than 100 percent? You get my drift.) Continue reading
New Rules May Constrain Docs’ Ability to Treat Chronic Pain – June 29, 2018
Physicians and public health and pain management experts are concerned that laws and regulations may represent another constraint on doctors’ ability to treat patients in the way they think best.
Although the huge death toll from opioids needs to be reduced, physicians are concerned about how to provide adequate chronic pain management for patients.
The CDC opioid prescribing guideline says patients are to be considered and evaluated as individuals, and that the specific milligram doses are only points at which to evaluate and document the decision prescribe opioids more carefully. Continue reading
Opioid Hysteria Leading to Patient Abandonment — Pain News Network – By Pat Anson, Editor – March 2018
As the overdose crisis has worsened, doctors are under increasing pressure from law enforcement, regulators and insurers to reduce or stop prescribing opioids.
A nurse practitioner in the Seattle area – who asked to remain anonymous — recently told us that she was closing her pain clinic because she was afraid of losing her license and going to prison.
And whether our doctor quits voluntary (it’s debatable how voluntary this is) or continues prescribing and loses their license, the result for patients is the same: no more pain relief. Continue reading
Doctors beginning to speak out about pain patients denied opioids | Globalnews.ca – June 18, 2017 – By Roy Green Host, Corus Radio Network Global News
I just noticed that this article is from a year ago, so it seems Canadian doctors have more spine and have been pushing back against the unreasonable opioid restrictions, while most U.S. doctors have lamely acquiesced.
It’s a trickle at present, but the conversation around chronic pain between doctors and patients is no longer one way only.
Over the past few months, the constant messaging suggesting chronic pain patients are dying in dramatically increasing numbers because of opioid overdoses has been questioned. Continue reading
Navigating New Opioid Prescribing Requirements: Practical Legal Advice for PCPs & Pain Specialists – By Angie Drakulich – April 2018
With presentations from Lynn Webster, MD, and Michael Barnes, Esq
Here’s a look at the current anti-opioid legal landscape from a practitioner’s point of view:
Perhaps one of the most well-attended sessions at the 2018 annual meeting of the American Academy of Pain Medicine was a unique presentation featuring Lynn Webster, MD, and Michael Barnes, Esq, on how changes in legislation and litigation are affecting patient care.
Presented in the context of the United States’ declared national public health emergency on opioids, an increase in DEA investigations into physicians working with chronic pain patients, and a slew of legal shifts, the session provided practical recommendations for today’s healthcare provider who may be concerned about opioid prescribing. Continue reading
Limiting Opioid Prescribing: The Fallout From Rules Telling Doctors How to Prescribe – Kenneth W. Lin, MD, MPH – May 08, 2018
Hello, everyone. I’m Dr Kenny Lin, a family physician at Georgetown University Medical Center in Washington, DC, and I blog at Common Sense Family Doctor.
The 2016 guideline on prescribing opioids for chronic non-cancer pain from the Centers for Disease Control and Prevention (CDC), which I discussed in a previous Medscape commentary, recommends that clinicians “should avoid increasing dosage to greater than or equal to 90 morphine milligram equivalents (MME) per day or carefully justify a decision to titrate dosage” to that level. Continue reading
Even More Doctors Are Cutting Back On Opioid Painkillers
Around 7 in 10 doctors have cut back on their prescriptions of opioid painkillers or stopped prescribing them entirely in the last two years, according to a new nationwide survey.
Doctors have been feeling uneasy about prescribing opioids for a long time and now they are seeing a chance to move away from them,” family physician Eriko Onishi of the Oregon Health and Science University told BuzzFeed News.
This makes it sound like doctors were just waiting for a reason not to prescribe opioid pain relievers. I know this isn’t true of all doctors because mine is happy that we’ve found a way to ease my constant pain with opioids (along with exercise, diet, and mental work). Continue reading