What is patient-centered care? – NEJM Catalyst – January 1, 2017
In patient-centered care, an individual’s specific health needs and desired health outcomes are the driving force behind all health care decisions and quality measurements.
That would be “nice”, but these days money is the driving force – and personalized care can be expensive.
Patients are partners with their health care providers, and providers treat patients not only from a clinical perspective, but also from an emotional, mental, spiritual, social, and financial perspective. Continue reading
‘Synthetic’ and ‘Opioids’: Two Useless, Confusing Terms that Need to Go – By Josh Bloom — May 8, 2018
I have been complaining about the irrelevance categorizing overdoses by these terms all along because they obscure the difference between prescribed and illicit opioids.
As if our government and press haven’t screwed up the story of the so-called “opioid crisis” thoroughly enough, why not add some meaningless and confusing terms to the mix so that absolutely no one knows what the hell is going on.
And what better way to do it than to throw around words that are confusing, meaningless and absolutely unnecessary. Virtually every report on this mess, especially those with graphs, will include the term “synthetic opioid” as a category. Continue reading
Is the CDC trying to hide the enormous scale of suicides lately?
By splitting up the total suicides by method – firearm, suffocation, or poisoning – the numbers are far smaller. Even the three-way split still ranks them all in the top 10 causes of death.
If they counted all the methods together, which would make much more sense, the total of 41,278 suicides would rank as the 2nd leading cause of deaths.
That’s a sad reflection on life in the US – so bad that so many cannot tolerate it anymore. They are willing to give up life itself to escape what has literally become unbearable. Continue reading
Abstract: Don’t demonize prescription opioids | Clinician Reviews –Source: Primary Care Medical Abstracts, April 2018 – Roehr, B., BMJ
The author, a biomedical journalist from Washington, DC, explains how a zero-tolerance policy to opioid prescribing will impede the delivery of care for patients with severe pain.
He notes that he has used hydrocodone daily for nearly ten years for nerve damage due to knee replacement and spinal surgeries, and suggests that reports of the opioid epidemic “crisis” represent overblown rhetoric from persons with an interest in promoting a “war on drugs” agenda. Continue reading
Opioids — Facts and fallacies – FoxNews.com – April 2018 – by Greg Gutfield
I realize that every time I discuss the opioid crisis with someone, I find that they often don’t know all the facts. And maybe, neither do I. But I try.
So, my goal here is to present all the stuff that I’ve read recently, with links. And I quote the articles, extensively, so you can see what I see, and not depend on my words alone.
But I must note: this article below is biased. The sources I’m using were sent to me by people upset by the media narratives regarding opioids. So the perspective here is not “fair and balanced,” but rather balancing the other narratives already out there. Continue reading
The Frightening Spread of Synthetic Opioids – by F. Perry Wilson MD, MSCEF May 01, 2018
According to a research letter in the Journal of the American Medical Association, synthetic opioids have eclipsed non-synthetic opioids in terms of opioid deaths.
What started as the opioid epidemic in the U.S. is rapidly becoming the synthetic opioid epidemic, and we need to begin to grapple with exactly what that means.
The issue is brought into stark relief by this research letter [no public access to this article] appearing in the Journal of the American Medical Association. Continue reading
Broader Public Health Campaign Needed for Drug Crisis — Pain News Network – May 02, 2018 – By Pat Anson, Editor
Overdose deaths in the United States involving illicit fentanyl and other synthetic opioids have surpassed those linked to prescription opioids, according to new research published in JAMA.
The study by researchers at the Substance Abuse and Mental Health Services Administration (SAMHSA) mirrors a similar report released by the CDC in March.
The findings further demonstrate how federal and state efforts to combat the overdose crisis are wrongly focused on prescription pain medication as the primary cause of the overdose crisis. Continue reading
CDC 90MME Limit Does Not Apply to Chronic Pain Patients– medium.com – ThomasKlineMD
Dr. Kline reminds us that these guidelines weren’t intended for chronic pain patients, but rather for patients just now starting a chronic pain journey through the medical industry.
Transcripts of CDC press conference on day of release of Guideline, March 15, 2016 12:30am
From the press release: “I’ll let Dr. Deb Houry who is the Director of The National Center for Injury Prevention And Control (the division of CDC responsible for Guideline) in which this work resides comment further. Dr. Houry. Continue reading
Five Questions for Barbara Ehrenreich, Author of ‘Natural Causes’ – UnDark.org – Apr 2018 – By Hope Reese
From the work that made her famous — hard-hitting books of social criticism like “Nickel and Dimed” and “Bait and Switch” — you might not guess that Barbara Ehrenreich has a Ph.D. in cellular immunology. But the science of medicine plays a central role in her newest book.
In “Natural Causes,” Ehrenreich takes aim at the American obsession with wellness at all costs. Now 76, she forgoes cancer screening, disdains “rituals” like annual physicals, and takes the culture to task for conferring special virtue on the healthy.
The book’s subtitle does not mince words: “An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer.” Continue reading
What the JAMA Opioid Study Didn’t Find — Pain News Network – March 10, 2018 – By Roger Chriss, Columnist
A recent opioid study published in the Journal Of the American Medical Association (JAMA) evaluated pain management in patients with hip and knee osteoarthritis and low back pain
The study by VA researcher Erin Krebs, MD, and colleagues found that “treatment with opioids was not superior to treatment with nonopioid medications for improving pain-related function over 12 months.”
Pain patients know this is simply untrue – at least for those of us who suffer from serious, daily, intractable pain. Continue reading