Tag Archives: good-news

Doctors resisting opioid restrictions in Florida

Doctors concerned Florida opioids bills would go too far | The Seattle Times – February 4, 2018 – By  JOE REEDY

It’s wonderful to hear of more doctors pushing back against these ridiculous restrictions on medical care.

Legislation aimed at fighting opioid abuse in Florida has raised concerns among doctors over provisions to impose limits as short as three days for prescriptions of the potentially addictive painkillers.

Physicians have mounted strong opposition to provisions being considered by House and Senate committees to limit prescriptions for Schedule II painkillers like Oxycontin and Fentanyl to three days — or seven days in some cases if a physician documents it as medically necessary.   Continue reading

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Pain Experts declare Opioids Useful in Some Patients

Pain Experts: Opioids Useful in Some Patients For Managing Chronic Pain – Pain Medicine News

I’m heartened to see the JAMA article I posted about a month ago, JAMA: Opioids Useful For Some Chronic Pain, receive additional coverage and attention in this popular doctor-oriented medical publication.

Selected subgroups of patients with chronic pain definitely benefit from this potent class of medication, according to the authors of a commentary piece in JAMA.

“There are more than 10 million Americans on opioids for chronic pain,” said Kurt Kroenke, MD, professor of medicine at Indiana University School of Medicine, in Indianapolis.   Continue reading

Doctors successfully resist new opioid restrictions

Nevada medical board to revise new opioid law – Las Vegas Review-Journal

Hallelujah! In the first successful rebellion, Nevada doctors successfully resisted new restrictions on opioid dosing.

The Nevada Medical Board of Examiners is delaying implementation of a new opioid prescription law after dozens of doctors complained that the change is burdensome and enforcement is confusing.

See Doctors finally rebelling against opioid restrictions  Continue reading

Opioid Crisis has Social and Economic Determinants

Opioid Crisis: No Easy Fix to Its Social and Economic Determinants | AJPH | Ahead of Print – by Nabarun Dasgupta PhD, MPH, Leo Beletsky JD, MPH, and Daniel Ciccarone MD, MPH

I applaud these three professionals for “speaking truth to power”: In a prestigious medical journal where reputational stakes are high, they dared to formally state and support a truth that so many of us have “known” for a while now.

The accepted wisdom about the US overdose crisis singles out prescribing as the causative vector.Although drug supply is a key factor, we posit that

the crisis is fundamentally fueled
by economic and social upheaval Continue reading

Doctors finally rebelling against opioid restrictions

Doctors finally rebelling en masse against a new wave of opioid restrictions from various legislatures that came into effect recently.

Here are articles describing two recent instances:

I-Team: Doctors sound off about concern, questions of new opioid – lasvegasnow.com – Jan 3, 2018 By: George Knapp

(Update 1/15: when doctors band together to push back against legislated dose limits: Doctors successfully resist new opioid restrictions)  

The National Crusade Against Opioid Pain Medications hit a brick wall in Nevada Wednesday.  Nevada’s medical community told the State Medical Board that a new state law has gone too far and could cause doctors to retire or even leave the state.  Continue reading

JAMA: Opioids Useful For Some Chronic Pain

Pain Experts: Opioids Useful in Some Patients For Managing Chronic Pain – Pain Medicine News – Dec 2017

Finally a statement of truth from doctors published in a prestigious medical journal: opioids can be effective for chronic pain.

Selected subgroups of patients with chronic pain definitely benefit from this potent class of medication, according to the authors of a commentary piece in JAMA.

“There are more than 10 million Americans on opioids for chronic pain,” said Kurt Kroenke, MD, professor of medicine at Indiana University School of Medicine, in Indianapolis.   Continue reading

Less than 5% Risk of Opioid Use Disorder in Patients

Low Risk of Producing an Opioid Use Disorder in Primary Care by Prescribing Opioids to Prescreened Patients with Chronic Noncancer Pain. – PubMed – NCBI –  2017 Mar

Here’s the main finding of this study:

Less than 5% of our study population
revealed any evidence of substance use disorder.

Objective. :

To examine the risk of developing aberrant behaviors that might lead to a substance use disorder (addiction) when prescribing opioids for the relief of chronic noncancer pain in primary care settings.  Continue reading

Chronic pain and opioid misuse: a Review of Reviews

Chronic pain and opioid misuse: a review of reviews – Open Access (free full-text) – August 2017

The review found a high rate of pre-existing pain among non-medical Rx opioid users and found only a low level of opioid use disorder among pain patients.

The crisis of prescription opioid (PO) related harms has focused attention toward identifying and treating high-risk populations. This review aims to synthesize systematic reviews on the epidemiology and clinical management of comorbid chronic pain and PO or other substance misuse.

Methods

A systematic database search was conducted to identify systematic reviews published between 2000 and 2016.  Continue reading

10 Things My Chronic Illness Taught My Children

10 Things My Chronic Illness Taught My Children – The New York Times – Paula M. Fitzgibbons – DISABILITY AUG. 16, 2017

My children have a mother with a chronic illness. They live with my rheumatoid arthritis just as much as I do.

I was given my diagnosis when all three of them were young, and since then I’ve spent a lot of time worrying about what the daily uncertainty of my condition would mean to them, and whether it would affect their development.

They are all teenagers now, one getting ready for college, and I can attest that my illness has indeed affected them. Here’s how.  Continue reading

FDA Declares CBD ‘Beneficial,’ Wants Your Input ASAP

FDA Declares CBD ‘Beneficial,’ Wants Your Input ASAP – by Bruce Barcott –  August 14, 2017

The United Nations is trying to figure out how to categorize cannabidiol (CBD), a non-psychoactive and medically beneficial cannabinoid contained in cannabis. And UN officials, through the US Food and Drug Administration (FDA), are asking for your help.

The FDA declared that
‘CBD has been shown to be beneficial
.’
Now the agency needs your comments to back it up.

All those who have information on, or experience with, the use of CBD as a healing substance are encouraged to comment at this federal website Continue reading