Tag Archives: outrage

Cutting back on opioids too much and too quickly

Are doctors cutting back on opioids too much and too quickly? – Healthy Debate – Author: Paul Taylor – Date: March 27, 2018

Question:

I suffer from a rare and very painful genetic disorder.

For a decade, my family physician has prescribed opioid drugs to me to ease the pain. But he recently retired and I had to find another doctor.

Well, any pain patient knows what’s coming next. There are very few doctors taking new pain patients and continuing their opioid therapy, no matter how well it has worked or for how long.   Continue reading

Artificial Intelligence, Back Pain, and the Cleveland Clinic

Artificial Intelligence, Lower Back Pain, and the Cleveland Clinic  – By Chuck Dinerstein — December 20, 2018

Two physicians from Cleveland Clinic write almost breathlessly about how artificial intelligence will revolutionize the treatment of back paina highly remunerative area to physicians that has no one ascendant, best treatment regimen.

What is so troubling, at least to me, about the vaporware they are peddling is both their confidence in its application, and the way cost pervades their view.

I’m glad someone else is pointing out what I’ve observed as well: all aspects of healthcare are more and more beholden to financial interests instead of medical ones.   Continue reading

Medical uncertainty leads to “conversion disorder”

Facing medical uncertainty, doctors tell patients it’s all in their heads – By Elizabeth Cohen, CNN – December 21, 2018

When 7-year-old Bailey Sheehan arrived at a hospital in Oregon partially paralyzed, a doctor said the girl was faking her symptoms to get her parents’ attention because she was jealous of her new baby sister.

Those of us with invisible painful syndromes regularly encounter this attitude from medical professionals. When a doctor cannot find some tangible “proof” of our pain, they jump to the conclusion that our problems are mental.

But that doctor was proved wrong when an MRI showed that the girl had acute flaccid myelitis or AFM, a polio-like disease that’s struck hundreds of children since 2014.

What I find frightening and even immoral is that doctors are never reprimanded, rebuked, or in any way penalized for this atrocious conduct, not by their peers, their employers, or medical boards.   Continue reading

Pain management, Rx opioid mortality, and the CDC

Pain management, prescription opioid mortality, and the CDC: is the devil in the data? by Michael E Schatman & Stephen J Ziegler – Journal of Pain Research – Oct 2017

Though a year old, this article explains the flaws in the CDC opioid prescribing guideline.

Transparency, freedom from bias, and accountability are, in principle, hallmarks of taxpayer-funded institutions. Unfortunately, it seems that at least one institution, the Centers for Disease Control and Prevention (CDC), continues to struggle with all three.

What began with a prescribing guideline created in secrecy has now evolved to the use of statistical data and public statements that fail to capture not only the complexity of the problem but also the distinction between licit and illicit opioids and their relationship to the alarming increase in unintentional overdose.  Continue reading

Mandated Queries of the Florida PDMP

Mandated Queries of the Florida Prescription Drug Monitoring Program: Early Experiences from a Cancer Center-based Outpatient Palliative Medicine Clinic – September 14, 2018 – by Chad Kollas (@ChadDKollas) via pallimed.org

Background and Introduction

On July 1, 2018, Florida implemented a new law requiring all licensed physicians to query the state’s prescription drug monitoring program (PDMP), known as the Electronic Florida Online Reporting of Controlled Substances Evaluation (E-FORSCE), before prescribing controlled medications, including opioid analgesics

In light of this anxiety about the potential impact of the new law on both patients and physicians, we initiated a quality improvement (QI) project to characterize its effects and identify opportunities to improve palliative care in the setting of implementation of the new law.  Continue reading

Veiled threats by Pharmacy to Doctors

From J. Julian Grove, MD @JulianGroveMD – Nov 2018

Chronic Pain Patients: An insight to the veiled threats Health Care Providers receive treating pain. From Walgreens on this example to my Physician’s Assistant.

I am a double board certified Anesthesiologist and Pain Specialist, treating complex pain and cancer pain always w/comprehensive approach. Insulting.

Continue reading

The Tyranny of Pain Management Contracts

The Tyranny of Pain Management Contracts   (repost from 7/17/16 related to a Opioid contracts harm the doctor-patient relationship)

– To receive opioids from a pain management clinic, you are required to sign away your personal rights and privacy in extremely restrictive and coerced contracts.

How would you feel if you entered a doctor’s office with distressing pain, only to be treated like a lying drug addict, presented with a completely one-sided legal contract, and be expected to sign away important personal rights just to get a medication you need?

Perhaps you just can’t understand just what it feels like to read such a contract when you are a person 100% dependent on opioids to live somewhat decently. It is demeaning, infuriating, and even scary to be treated like an addict without any provocation.   Continue reading

DEA Employees Fail Drug Tests

DEA Employees Fail Drug Tests, Shockingly Face No Serious Consequences – Sept 2015 – By Nick Wing

I found this amusing, but not really surprising. There seems less and less difference between the DEA and the drug dealers it so intimately deals with.

A number of federal employees with the U.S. Drug Enforcement Administration have failed drug tests over the past five years, only to receive short suspensions or other minor reprimands, newly released documents reveal.

According to a Huffington Post review of internal DEA discipline logs, first uncovered by USA Today over the weekend, there have been at least 16 reported instances of employees failing random drug tests since 2010. Continue reading

Doctors & Scientists Dispute Oregon Forced Taper

U.S. Chronic Pain Practitioners and Scientists Comment on Oregon Forced Taper Proposal – National Pain Report – July 31, 2018

Editor’s Note—This letter was submitted to the Oregon Health Evidence Review Commission (HERC) in advance of its August 9 meeting to consider opioid forced taper guidelines.

People outside of Oregon are free to comment. To submit your comment of 1000 words or less, email them to herc.info@state.or.us as soon as possible.)  

Continue reading

Oregon Medicaid: No more opioids for chronic pain

Oregon Medicaid program could cut off chronic pain patients from opioids – STAT – By Lev Facher @levfacher – August 15, 2018

There is little Laura Dolph has not tried to escape her physical pain. Tylenol, occupational therapy, oxycodone. A chiropractor. Transcutaneous electric nerve stimulation. Methadone, Advil, physical therapy, Tylenol with codeine. A prescription fentanyl patch that didn’t work because its adhesive made her break out in hives.

For almost two years, heroin. Twice, in the mid-1990s, suicide.

But after decades of drugs and appointments and surgeries, mercifully, Dolph says she has found pain management that works, that keeps her stable. When she first wakes up, a methadone pill. When the pain wells up in her lower back and begins its creep down to her legs — left, then right — an oxycodone pill, and sometimes another as needed.   Continue reading