Let’s not kill pain patients to “save” patients with addiction.
– @StefanKertesz on Twitter
As a physician, I urge caution as we cut back opioids | TheHill | By Dr. Stefan G Kertesz – Mar 28, 2017
“If all we talk about is a pill, for or against,
we are having the wrong conversation.
We don’t take care of prescription pads.
We take care of people.” Continue reading
The unsolved case of “bone-impairing analgesics”: the endocrine effects of opioids on bone metabolism – Ther Clin Risk Manag – 2015 Mar – free full-text PMC article
The current literature describes the possible risks for bone fracture in chronic analgesics users.
There are three main hypotheses that could explain the increased risk of fracture associated with central analgesics, such as opioids:
1) the increased risk of falls caused by central nervous system effects, including sedation and dizziness;
2) reduced bone mass density caused by the direct opioid effect on osteoblasts; and
3) chronic opioid-induced hypogonadism
The impact of opioids varies by sex and among the type of opioid used (less, for example, for tapentadol and buprenorphine). Continue reading
CMS finalizes 2018 payment and policy updates for Medicare Health and Drug Plans, and releases a Request for Information – 2017-04-03
The final policies are similar to those proposed and discussed in the Advance Notice and draft Call Letter in February but incorporate several changes in response to feedback received during the public comment period.
CMS apparently read our comments and reacted to them, unlike the CDC, which completely ignored input on their opioid prescribing guidelines.
This is the first national policy to give authority back to physicians to manage opioid medications for chronic pain patients. It could be a sign that the medical industry is finally reconsidering its rash generic restrictions on what should be a treatment plan developed by doctors with their patients. Continue reading
‘Most neglected disorder in modern medicine’ receives major classification update | The Ehlers Danlos Society
This long-awaited review updates the diagnostic criteria for the first time in 20 years, and provides management and care guidelines.
Full paper will be published
on March 15th.
Latest Info 3/16
2017 EDS International Classification
Take in the Good in Just One Thing
Scientists believe that your brain has a built-in “negativity bias.” In other words, as we evolved over millions of years, dodging sticks and chasing carrots, it was a lot more important to notice, react to, and remember sticks than it was for carrots.
The negativity bias shows up in lots of ways. In effect, the brain is like Velcro for negative experiences, but Teflon for positive ones.
Having chronic pain, we have to contend with its constant drain on our bodies, minds, and spirits, so finding positives and goodness in life is more than just a good idea. I think positive experiences are absolutely necessary to counterbalance the continuous negative undertow, keep us from losing the will to live and drowning.
I think positive experiences and/or feelings are absolutely necessary to counterbalance the continuous negative undertow, keep us from drowning in an ocean of negativity. Continue reading
Chronic Pain Patients Feel The Crackdown Of Opioid Use – by Kimberly Davis – Sep 1, 2016
“there are other options to treat chronic pain but it is not as effective as opioids”
This story is remarkable for its clear repudiation of the CDC opioid guidelines from a mainstream media organization, the Nashville Channel 5 News.
This is a surprisingly realistic story with obvious sympathy for pain patients coming from the area of the country heaviest hit by opioid overdosing.
Shooting, burning, or aching could be words that someone with chronic pain describes the task of walking their child to school.
Yet, many Primary care physicians have stopped seeing patients who have chronic pain. Continue reading
Managing Your Arthritis / Benefits and Risks of Opioids for Chronic Pain Management – Johns Hopkins Arthritis Center – July 31, 2012 – by Michael Clark, M.D., M.P.H.
This article from a respected medical institution comes to completely different conclusions than the CDC guidelines.
Recent advances in the treatment of chronic pain include the diagnosis and treatment of psychiatric co-morbidity, the application of psychiatric treatments to chronic pain, and the development of interdisciplinary efforts to provide comprehensive healthcare to the patient suffering with chronic pain.
Fears of regulatory pressure, medication abuse and the development of tolerance create a reluctance to prescribe opioids and many studies have documented this “underutilization”.
Surveys and open label clinical trials support the safety and effectiveness of opioids in patients with chronic non-malignant pain. Continue reading
Neat, Plausible, and Generally Wrong: A Response to the CDC Recommendations for Chronic Opioid Use – Medium
Stephen A. Martin, MD, EdM; Ruth A. Potee, MD, DABAM ; and Andrew Lazris, MD
Finally, someone is standing up for the truth about opioids and pain patients. These three courageous M.D.s expose the CDC guidelines for the fraud they are.
They’ve written a well-researched paper that refutes the basis of these unscientific and biased guidelines piece by piece with real evidence from scientific studies to back their claims.
I admire these three authors for having the ethics-based courage not to let this gross misinterpretation of science and be accepted without question.
They show how the CDC cherry-picked data with obvious bias (much as they did people). Repeatedly, the CDC interpreted studies with such a slanted view as to assure the outcome they wanted. Continue reading
Disability Resources You May Not Know About — Pain News Network – August 22, 2016 – By Barby Ingle, Columnist
Over the past 20 years I have had many ups and downs with my health and my finances. After losing my job and company, I had to rely on food stamps, church food banks, and county mental health support groups.
We need to invest time to make sure that the resources available to us are being utilized. There are Social Security programs, Medicare, Medicaid, state assistance programs, utility company programs, handicapped bus passes and car licenses, to name some of them.
Knowing what each one is and how it can be used is important. For instance, Supplemental Security Income (SSI) comes from general tax revenues, not social security tax funds. Continue reading
Cannabinoids remove plaque-forming Alzheimer’s proteins from brain cells — ScienceDaily | June 29, 2016
Scientists have found preliminary evidence that tetrahydrocannabinol (THC) and other compounds found in marijuana can promote the cellular removal of amyloid beta, a toxic protein associated with Alzheimer’s disease.
While these exploratory studies were conducted in neurons grown in the laboratory, they may offer insight into the role of inflammation in Alzheimer’s disease and could provide clues to developing novel therapeutics for the disorder.
“Although other studies have offered evidence that cannabinoids might be neuroprotective against the symptoms of Alzheimer’s, we believe our study is the first to demonstrate that cannabinoids affect both inflammation and amyloid beta accumulation in nerve cells,” Continue reading