The cups of urine travel by express mail to the Comprehensive Pain Specialists lab in an industrial park in Brentwood, Tenn., not far from Nashville.
Most days bring more than 700 of the little sealed cups from clinics across 10 states, wrapped in red-tagged waste bags. The network treats about 48,000 people each month, and many will be tested for drugs.
Gloved lab techs keep busy inside the cavernous facility, piping smaller urine samples into tubes. Continue reading
Bend over, here it comes again…
The Joint Commission described the new standards in its “Requirement, Rationale, Reference” (R3) report, released on Aug. 29, 2017, writing that they are “designed to improve the quality and safety of care provided by Joint Commission–accredited hospitals.”
And, of course, quality in pain treatment is currently defined by how much they can reduce (or deny outright) opioid pain relievers. Continue reading
From Twitter Dystopian Novelist @dystopiannovel:
2016 deaths per day & cause:
- 16,850 heart disease
- 16,500 cancer
- 1,315 tobacco*
- 1,205 preventable hospital errors
- 684 medical error
- 175 OD (all drugs)
- 121 suicide
- 109 car accident
- 101 alcohol*
- 98 gun
- 59 Fentanyl*
- 41 heroin*
- ~40 CPP* suicide
- 39 Rx opioid*
- <10 legal Rx opioid only OD
DEA Raids Dr. Forest Tennant’s Pain Clinic — Pain News Network – November 16, 2017 By Pat Anson, Editor
Agents with the Drug Enforcement Administration have raided the offices and home of Dr. Forest Tennant, a prominent California pain physician, confiscating patient records, appointment books and financial documents.
In a lengthy search warrant, the DEA alleges that Tennant prescribed such high doses of opioid pain medication that his patients must be selling them.
So, the DEA got a search warrant based on their assumptions about his patients’ medical needs and their assumptions about what his patients are doing with their medication – no proof, no evidence, just assumptions. Continue reading
Opioid Use Disorder is a diagnosis introduced in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5.
It combines two disorders from the previous edition of the Diagnostic and Statistical Manual, the DSM-IV-TR, known as Opioid Dependence and Opioid Abuse, and incorporates a wide range of illicit and prescribed drugs of the opioid class.
Although the generic term, Opioid Use Disorder, is given in the DSM-5, the guidelines indicate that the actual opioid drug being used by the individual is specified in the diagnosis. Continue reading
What is Opioid Use Disorder? — Pain News Network – By Rochelle Odell – October 18, 2017
Substance use disorders “related” to pain relievers? Heroin use disorder? That got me wondering how many drug “disorders” there are.
According to the Substance Abuse and Mental Health Services Administration (SAMSHA), there are six major substance use disorders.
Nearly 93,000,000 Americans have a substance use disorder of some kind: Continue reading
Treating Doctors as Drug Dealers: The DEA’s War on Prescription Painkillers – June 2005 – by Ronald T. Libby
This is a long, sad story about how we ended up with the absurd and cruel opioid policies that are driving pain patients to suicide.
The medical field of treating chronic pain is still in its infancy. It was only in the late 1980s that leading physicians trained in treating the chronic pain of terminally ill cancer patients began to recommend that the “opioid therapy” (treatment involving narcotics related to opium) used on their patients also be used for patients suffering from nonterminal conditions.
The new therapies proved successful, and prescription pain medications saw a huge leap in sales throughout the 1990s.
But opioid therapy has always been controversial. Continue reading
This TV station wants to hear our stories (link at end).
LAS VEGAS – Nightly newscasts across the country are filled with stories about the opioid epidemic — the opioid crisis. Tens of thousands of Americans who die each year are found with opioids in their systems, and so government at every level has stepped in to put limits on otherwise legal medications, including here in Nevada.
For millions of chronic pain patients, the crackdown has been a nightmare.
They are the forgotten victims in the opioid debate. Continue reading
Mr. Dikel points out a fundamental shift in pain management practice that I noticed several years ago, starting with my experience at Stanford in 2011.
Sometime in the past 10 years or so, psychiatry or psychiatrists were pushed aside as pain management passed over to a new group with a different mentality altogether. “Addiction medicine.”
And when the addiction medicine people took over from psychiatrists, they in some cases sent a letter out to patients that immediately proved that they had not a f — king clue about how to deal with pain patients. Continue reading
Editor’s Memo: A Plea for Proper Opioid Tapering – Practical Pain Management – Dr. Forest Tenant – Editor’s Memo July/August 2017
It wasn’t long after the opioid guidelines from the Centers for Disease Control and Prevention (CDC)1 were released in 2016 that I began to hear rumors about pain patients being cut off from opioids and then committing suicide.
I initially didn’t take these reports seriously, since the
CDC guidelines neither placed a ceiling on opioid dosages
nor required that patients be “cut off” of opioids
But as I noted in a previous Editor’s Memo: a survey of 1,978 chronic pain patients found that Continue reading