Guidelines for the Chronic Use of Opioid Analgesics from State Medical Boards – Opioid Guidelines As Adopted April 2017_FINAL.pdf
Adopted as policy by the Federation of State Medical Boards April 2017
In April 2015, the Federation of State Medical Boards (FSMB) Chair, J. Daniel Gifford, MD, FACP, appointed the Workgroup on FSMB’s Model Policy for the Use of Opioid Analgesics in the Treatment of Chronic Pain to review the current science for treating chronic pain with opioid analgesics and to revise the Model Policy as appropriate.
In updating its existing policy, the FSMB sought input from a diverse group of medical and policy stakeholders that ranged from experts in pain medicine and addiction to government officials and other thought leaders.
This what the CDC should have done as well, but did not. Continue reading
» call MORGAN & MORGAN ..tell your story… refer to chronic pain patient class action PHARMACIST STEVE June 19, 2017 by Steve Ariens
Chronic Pain Patients – Call Now
Morgan & Morgan Lawyers
Ask for the medical malpractice department.
Refer to chronic pain patient class action and tell your story. Continue reading
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