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
The Ethical Responsibility to Manage Pain and the Suffering It Causes – Position Statement of the American Nurses Association, 2018
The purpose of this position statement is to provide ethical guidance and support to nurses as they fulfill their responsibility to provide optimal care to persons experiencing pain.
The national debate on the appropriate use of opioids highlights the complexities of providing optimal management of pain and the suffering it causes.
In these first sentences, the difference between nurses and doctors shine through: nurses are much more concerned with suffering, while doctors nit-pick about what is painful and what isn’t, who is “really” hurting and who is “catastrophizing”. Continue reading
Doctors bristle at push for opioid prescription limits – /thehill.com/ – By RACHEL ROUBEIN – 04/11/18T
An increasing number of states and entities in the health industry are putting curbs on the amount of opioids that doctors can prescribe, a controversial move aimed at combating the opioid crisis.
These limits have garnered support from various stakeholders and are now being considered in Congress, with a bipartisan group of senators proposing to set a cap on first-time prescriptions for acute pain.
So now the United States Congress wants to legislate our healthcare. Continue reading
Nation’s top pain doctors face scores of opioid lawsuits – Yahoo Finance – April 3, 2018 – By Roger Parloff
Four of the nation’s leading pain doctors, who spearheaded a medical movement to treat chronic pain with opioid drugs, have been named as co-defendants in scores of lawsuits filed by cities and counties against opioid manufacturers.
The lawsuits allege that the doctors allowed themselves to be used by manufacturers, as part of a false, industrywide marketing campaign, thereby helping to instigate the public health crisis that has led to more than 300,000 opioid-related overdose deaths since 2000.
If they were “used” by manufacturers, and the manufacturers were the ones pushing the “wrong” message, why are the doctors being charged as criminals? Continue reading
The War on Opioids Has Become a War on Patients | Cato @ Liberty – March 2018 – By JEFFREY A. SINGER
As Anne Fuqua recently pointed out in the Washington Post, non-medical drug users accessing heroin and fentanyl in the underground drug market are not the only victims in the opioid crisis.
Many patients for whom prescriptions opioids are the only relief from a life sentence of torturing pain are also victims.
Dr. Forest Tennant Retiring Due to DEA Scrutiny — Pain News Network – March 26, 2018 – By Pat Anson
A prominent California pain physician and a longtime champion of the pain community has announced his retirement. Dr. Forest Tennant, and his wife and office manager, Miriam, have informed patients that they are closing their pain clinic in the Los Angeles suburb of West Covina, effective April 1.
This is an appalling example of the DEA going after easy and safe targets instead of the dangerous cartels that are importing fentanyl in bulk and poisoning people.
“On strong legal and medical advice, as I am 77 and Miriam 76, we are closing the Veract Intractable Pain Medical Clinic and taking retirement. I will write no additional opioid prescriptions after this date,” Continue reading