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.
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, 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
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 email@example.com as soon as possible.)
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
Oregon makes a bad proposal to “fix” the opioid problem – By Bob Twillman, Ph.D., FACLP, Executive Director, Academy of Integrative Pain Management, Tuesday, July 31, 2018
As I’ve said many times, to solve the complex problems of opioid misuse and overdose, policymakers across the country are blindly and blithely reaching for the simplest solutions.
Typically, these solutions focus on reducing opioid prescribing to–or beyond–the bare minimum.
Because these policies often are enacted with very little forethought and very little concern for the unintended consequences…
I argue that these consequences were neither unintended nor unforeseeable. Continue reading
Latest review of Opioid-Induced Hyperalgesia in the Nonsurgical Setting: A Systematic Review. – PubMed – NCBI – Am J Ther. – Jan 2018
Opioid-induced hyperalgesia (OIH) is a phenomenon that causes an increased pain sensitization and perception of pain to noxious stimuli secondary to opioid exposure.
While this clinical effect has been described in the surgical setting, it is unclear if OIH occurs in the nonsurgical setting.
Yet, some doctors are quick to blame any pain patient’s increased pain on this mythical phenomenon. Instead of prescribing more opioids, they use your additional pain as an excuse to cry “OIH!” and taper you down. Continue reading
What Makes Buprenorphine Risky for Pain Patients — Pain News Network – October 17, 2017 – By Jane Babin, Guest Columnist
Buprenorphine is the darling of the addiction treatment industry, rapidly replacing methadone as the “medication assisted treatment” of choice for opioid use disorder (OUD) and addiction.
As a class III controlled substance, prescriptions for buprenorphine can be phoned or faxed in, and scripts can be refilled up to 5 times in 6 months without a new prescription.
Class II controlled substances, like hydrocodone, oxycodone and morphine, require a new prescription each month and can neither be refilled nor phoned in. Continue reading
Cancer pain management and the opioid crisis in America: How to preserve hard-earned gains in improving the quality of cancer pain management. – PubMed – NCBI – June 2018
Cancer pain remains a feared consequence of the disease and its treatment. Although prevalent, cancer pain can usually be managed through the skillful application of pharmacologic and nonpharmacologic interventions.
Come on, just say it: “cancer pain can usually be managed through opioids.” Continue reading
Opioid stigma is keeping cancer patients from proper pain control – Stat News – By Sara Ray and Kathleen Hoffman – July 6, 2018
History is repeating itself. Twenty years ago, a pain management crisis existed. As many as 70 percent of cancer patients in treatment at that time, or in end-of-life care, experienced unalleviated pain.
And we’re heading back to that situation as fast as we can, with one rule after another being rushed to implementation to prove its sponsors are “doing something about the opioid crisis”.
But now that even cancer patients are being affected, I hope the rest of the country can see that withholding pain relief is simply torture and has no place in a modern-day healthcare system. Continue reading